Therapeutic Approach

Theraplay®

Theraplay® is an attachment therapy developed by Ann Jernberg and Phyllis Booth in the 1960's. It focuses on the parent-child relationship, aiming to strengthen bonding following separation, loss or trauma.

The approach is solidly supported by theory and research that emphasises the importance of the relationship itself and the interactions between the parent and child that leads to secure attachments and lifelong positive mental health.

In this approach the Therapist works directly with the parent/carer and their child together to give them an active, here and now experience of a new way of relating.

The therapist guides them in the experience of interacting in ways that facilitate attachment through the use of play, attuned interaction and nurturing touch to create joyful interaction. Attunement is where the parent / carer is able to respond to the child by being in sync with the child's internal emotional state to help them manage their own feelings.

The therapy focuses on four basic dimensions of parenting:

  • Structure – the ability to set limits and boundaries
  • Engagement – the ability to engage the child in interaction while being attuned to the child’s emotional state
  • Nurture – the ability to meet the child’s needs for attention, soothing and care
  • Challenge – the ability to support and encourage the child’s efforts to achieve at a developmentally appropriate level

The parent and child first engage in an assessment to review the use of the four dimensions using the Marschak Interaction Method (MIM). The assessment involves the parent/carer and child engaging in a selection of games and their pattern of interaction can be analysed.

The MIM enables the therapist to identify problem areas in the relationship, but also the strengths of both the adult and child and of their relationship.

The therapist and family will use this information to devise a therapy treatment plan.

Theraplay® is particularly useful with very young children and children who are not developmentally or emotionally prepared for non-directive play therapy or talking therapies.

Theraplay® can be especially effective for children who have suffered consistently mis-attuned care, early parental loss or later adoption. Theraplay® addresses the chronological age at which the trauma or loss occurred; it is a way to fill in lost opportunities in the parent-child relationship.

Further information can be found at www.theraplay.org

We're registered with:

Supporting local families

Providing specialist psychological services to children, young people, adults and families across the East Midlands and South Yorkshire, including Nottingham, Nottinghamshire, Derby, Derbyshire, Sheffield, Rotherham, Chesterfield and Doncaster.

Family Focused Psychology Services
© 2026 Family Focused Ltd. All rights reserved.
Family Focused is registered with the ICO.

Family Focused is the trading name of Family Focused Limited. Registered Office: Staffordshire House, Beechdale Road, Nottingham, NG8 3FH

Directors: Johanna Hilton BSc (Hons) MSc D.Clin.Psychol., S.B.Crossley BSc (Hons) PGDip MA. Company Registered No. 4849983 VAT Registered No: 104 8230 50